Focus on oRthoPeDIcs - Renown Health
Focus on oRthoPeDIcs - Renown Health
Focus on oRthoPeDIcs - Renown Health
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FRIDAY | APRIL 25, 20 0 8<br />
<str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> Orthopedics<br />
Patient success in Cardiac Rehab<br />
Surgery services at <strong>Renown</strong> South Meadows<br />
Cultural diversity at Labor and Delivery
CULTURAL DIVERSITY<br />
IN LABOR & DELIVERY<br />
NURSES CREATE THEIR<br />
OWN GUIDE<br />
CEOnotes<br />
As you read through this issue of the M<strong>on</strong>itor,<br />
there will be a theme that may be subtle at<br />
first, but that is present in everything we do to<br />
foster a culture of quality care. That theme is<br />
resp<strong>on</strong>sibility.<br />
A great example is the cover story package<br />
<strong>on</strong> Orthopedics. Both in the Total Joint<br />
Replacement project and our work in Trauma<br />
Services, <strong>Renown</strong> employees are working with<br />
physicians and peers to optimize the patient<br />
experience.<br />
These projects are examples that quality is<br />
every<strong>on</strong>e’s resp<strong>on</strong>sibility. That includes me,<br />
our leaders and board members, physicians,<br />
and every employee in both clinical and<br />
support services across the health network.<br />
The fostering of teamwork to deliver great<br />
patient care is the <strong>on</strong>ly way we can achieve the<br />
best outcomes and customer service for every<br />
patient, every time.<br />
When you read about success stories such as<br />
these – or the stories <strong>on</strong> the patient experience<br />
at <strong>Renown</strong> South Meadows Medical Center and<br />
<strong>on</strong>e pers<strong>on</strong>al patient story in Cardiac Rehab at<br />
<strong>Renown</strong> Regi<strong>on</strong>al – I hope you’ll be able to see<br />
a reflecti<strong>on</strong> in your own work.<br />
Did you know that Samoan mothers-to-be are<br />
modest, str<strong>on</strong>gly family-oriented and listen to their<br />
grandmothers as well as mothers for birthing advice?<br />
For some Hispanic women, there is a belief that tying a<br />
red ribb<strong>on</strong> or red piece of yarn around their stomachs<br />
will ward off bad outcomes. In many Asian cultures,<br />
pregnant women d<strong>on</strong>’t drink cold beverages for fear<br />
they might lead to infecti<strong>on</strong>.<br />
Labor and Delivery employees at <strong>Renown</strong> Regi<strong>on</strong>al<br />
Medical Center have learned about these cultural<br />
traditi<strong>on</strong>s and family interacti<strong>on</strong>s from the work of<br />
two registered nurses <strong>on</strong> their unit. Leanne Gori, RN,<br />
and Debbie Hawley, RN, recently completed a Clinical<br />
Ladder Level 3 project <strong>on</strong> cultural diversity.<br />
“We decided to focus <strong>on</strong> the cultural backgrounds<br />
of our current patient populati<strong>on</strong>,” said Gori. “We<br />
recognized the need, and I think we have inevitably<br />
improved care by better understanding our patients’<br />
beliefs and traditi<strong>on</strong>s.”<br />
Nurses now have a culture and nursing care guide<br />
that they can refer to <strong>on</strong> the unit for informati<strong>on</strong> <strong>on</strong><br />
T<strong>on</strong>gans, Samoans, Japanese, American Indians, and<br />
Hispanics, to name a few. In additi<strong>on</strong>, nurses can read<br />
up <strong>on</strong> these cultural differences and take a test <strong>on</strong><br />
the unit to receive a cultural diversity credit. Cultural<br />
diversity is an important aspect of any Magnetdesignee<br />
hospital and was another reas<strong>on</strong> why Gori<br />
and Hawley chose the project.<br />
I know from visiting units and hearing from<br />
leaders that there are many team members<br />
from across disciplines working together to<br />
achieve the highest quality care at <strong>Renown</strong><br />
<strong>Health</strong>. Your ideas are important, innovative<br />
and, in some cases, a nati<strong>on</strong>al best practice.<br />
This work is the foundati<strong>on</strong> of our ability<br />
to give the most advanced care in northern<br />
Nevada – healthcare that our community<br />
expects, and deserves.<br />
Erin Foster, RN, Labor and Delivery, shows the Chinese-American<br />
porti<strong>on</strong> of the guide <strong>on</strong> cultural diversity created by nurses <strong>on</strong><br />
that <strong>Renown</strong> Regi<strong>on</strong>al unit.
A BETTER LIFE<br />
PATIENT PRAISES WORK OF CARDIAC REHAB TEAM<br />
It’s been 20 years since Reno resident Carl McDuffie<br />
suffered a heart attack that forced him into cardiac arrest.<br />
As part of his recovery, doctors referred him to <strong>Renown</strong><br />
<strong>Health</strong>’s cardiac rehabilitati<strong>on</strong> program. McDuffie worked<br />
with Cardiac Rehab Manager Doug Plourde, RN, and<br />
Karen Page, RN, <strong>on</strong> a treatment plan that improved the<br />
quality of his life tremendously.<br />
“The first time you step through those doors, it’s very<br />
daunting because you’re not exactly sure how much l<strong>on</strong>ger<br />
you’ve got,” McDuffie said. “But, I was c<strong>on</strong>fident in the<br />
course of acti<strong>on</strong> I had to take in order to maintain a healthy<br />
lifestyle.”<br />
Through motivating patients to improve their quality of<br />
life, Cardiac Rehab works hand-in-hand with people who<br />
suffer from a variety of heart c<strong>on</strong>diti<strong>on</strong>s including heart<br />
attack, bypass surgery and angioplasty. McDuffie credits<br />
his life to cardiac rehabilitati<strong>on</strong> and is unequivocally <strong>on</strong>e of<br />
the program’s greatest fans.<br />
Carl McDuffie (center) works with Cardiac Rehab Manager Doug<br />
Plourde, RN (right) and Karen Page, RN, <strong>on</strong> classic strength<br />
exercises used at Heart <strong>Health</strong> at <strong>Renown</strong> Regi<strong>on</strong>al.<br />
“Before rehab I wasn’t exercising, was smoking and<br />
was working n<strong>on</strong>-stop,” McDuffie said. “Once I started<br />
the program, my wife Pat and I quit smoking, started<br />
exercising and began making healthier decisi<strong>on</strong>s all<br />
around. It gave me the faith and courage to live.”<br />
Cardiac Rehab sets forth three goals for each patient<br />
entering the program. The first is to ensure a patient’s<br />
understanding of their heart c<strong>on</strong>diti<strong>on</strong> and the treatment<br />
they’ve been given. They then work with each patient to<br />
create awareness about the individual’s risk factors (such<br />
as smoking or a high-fat diet) and coach people to modify<br />
or relinquish risky behaviors. Finally, the team focuses<br />
<strong>on</strong> teaching the patient heart health exercises they can do<br />
safely and with great benefits.<br />
“We support people in making lifestyle changes,” said<br />
Page. “Patients can’t do what they d<strong>on</strong>’t know, and through<br />
educati<strong>on</strong> they make good decisi<strong>on</strong>s imperative to their<br />
care.”<br />
McDuffie serves as an example for all cardiac patients and<br />
is a true <strong>Renown</strong> success story. He c<strong>on</strong>tinues exercising<br />
daily and enjoys playing in the Sparks Recreati<strong>on</strong><br />
Department’s senior softball league. In additi<strong>on</strong>, McDuffie<br />
enjoys fishing and walks with Pat, his wife of 50 years.<br />
Alicia Bothmer, (left) Medical Exercise Specialist, works<br />
<strong>on</strong> strength training with Carl McDuffie at the Heart<br />
Rehab unit at <strong>Renown</strong> Regi<strong>on</strong>al.<br />
| 3 |<br />
THE MONITOR APRIL 25, 2008
MAKING A GENUINE DIFFERENCE<br />
DIETARY SERVICES AT RENOWN REHAB<br />
Working for an organizati<strong>on</strong> with<br />
a Purpose as meaningful as ours<br />
can bring out the best in people. All<br />
employees c<strong>on</strong>nect to our Purpose, no<br />
matter their role in the organizati<strong>on</strong>:<br />
make a genuine difference in the many<br />
lives we touch by optimizing our<br />
patients’ healthcare experience.<br />
The folks in Dietary at <strong>Renown</strong><br />
Rehabilitati<strong>on</strong> Hospital are a great<br />
example of living our Purpose. They<br />
c<strong>on</strong>tinuously perform at a level that<br />
proves they are here to make the patient<br />
experience the best it can be.<br />
In their role, the Dietary team makes<br />
sure patients receive meals that take<br />
into account each pers<strong>on</strong>’s abilities<br />
or functi<strong>on</strong>al limitati<strong>on</strong>s and stage of<br />
rehabilitati<strong>on</strong>. For example, patients<br />
who have suffered from a stroke may<br />
have limited ability to swallow and<br />
these patients may be limited to what<br />
they can or cannot eat.<br />
From left to right, members of the <strong>Renown</strong> Rehabilitati<strong>on</strong> Hospital dietary team: Flavia<br />
de la Torre, Nutriti<strong>on</strong> Assistant; Guadalupe Ayala, Cook; Raymundo Frausto, Dish Washer;<br />
and Manuel Rivera, Cook.<br />
Tracy Wessel, Food and Nutriti<strong>on</strong><br />
Services Manager at <strong>Renown</strong> Rehab,<br />
said the daily nutriti<strong>on</strong> patients get from<br />
their food plays a huge role in their<br />
treatment, from the very start of their<br />
stay to their return home.<br />
“A patient’s food is treated like a<br />
medicati<strong>on</strong>,” Wessel said. “The nutriti<strong>on</strong><br />
we provide helps optimize their therapy<br />
and recovery.”<br />
Other employees in the Dietary<br />
department include cooks, dishwashers<br />
and nutriti<strong>on</strong> assistants, to name a few.<br />
They all have a role in optimizing the<br />
patient’s experience. In fact, the Dietary<br />
team’s focus <strong>on</strong> patient experience has<br />
proven to be their str<strong>on</strong>g point. They<br />
have scored above the 95th percentile<br />
for patient satisfacti<strong>on</strong> and received the<br />
top score – 100 percent – <strong>on</strong> a recent<br />
Washoe County <strong>Health</strong> Department<br />
inspecti<strong>on</strong>.<br />
Pride in their work, c<strong>on</strong>necti<strong>on</strong> to the<br />
organizati<strong>on</strong>’s Purpose and compassi<strong>on</strong><br />
for their patients shines through in the<br />
<strong>Renown</strong> Rehab Dietary team.<br />
EMR MILESTONE REACHED<br />
HEALTH INFORMATION GOES LIVE AT RENOWN REGIONAL<br />
Another Electr<strong>on</strong>ic Medical Record milest<strong>on</strong>e has been<br />
reached as <strong>Renown</strong> Regi<strong>on</strong>al Medical Center’s <strong>Health</strong><br />
Informati<strong>on</strong> Management Department started using<br />
the system to track all patient charts across the health<br />
network <strong>on</strong> March 25.<br />
In additi<strong>on</strong> to chart management -- past and future-<br />
- HIM is utilizing the system to manage release of<br />
informati<strong>on</strong>, access clinical informati<strong>on</strong> to support<br />
coding and manage physician transcripti<strong>on</strong>s, including<br />
tracking when there is missing informati<strong>on</strong>. The<br />
c<strong>on</strong>versi<strong>on</strong> from paper charting to the EPIC system<br />
also allows HIM to perform some automati<strong>on</strong> of chart<br />
requests, such as when a surgery case is scheduled.<br />
These EMR functi<strong>on</strong>s are specific to the HIM<br />
department.<br />
“It has been a huge transiti<strong>on</strong> but we are improving<br />
every day and are <strong>on</strong> the right track, said Colleen Wolfe,<br />
HIM Supervisor at <strong>Renown</strong> Regi<strong>on</strong>al. “We are working<br />
out issues and moving al<strong>on</strong>g with training.”<br />
In the l<strong>on</strong>g run, the system will save staff and physicians<br />
valuable time as well as improve patient care.<br />
“We have enhanced the ability for health care<br />
professi<strong>on</strong>als to access patient health history and other<br />
pertinent informati<strong>on</strong> quickly,” said Marti Heesen-May,<br />
HIM Director. “When we participate in periodic audits<br />
by regulatory agencies such as the Joint Commissi<strong>on</strong>, the<br />
EPIC system will make the entire process of informati<strong>on</strong><br />
gathering and chart auditing exp<strong>on</strong>entially easier than<br />
in the past.”<br />
| 4 |<br />
THE MONITOR APRIL 25, 2008
services for surgery patients<br />
renown south meadows scores high <strong>on</strong> satisfacti<strong>on</strong> survey<br />
Quality and Service are two fundamentals we strive to<br />
uphold each day. The Surgery department at <strong>Renown</strong><br />
South Meadows Medical Center has exemplified these<br />
key fundamentals in their most recent Patient Satisfacti<strong>on</strong><br />
Survey scores. Ranked in the top two percentile, the Surgery<br />
department was candid about why they scored so well.<br />
“We’re living the Purpose statement,” said Keith Covert,<br />
Manager of Perioperative Services at <strong>Renown</strong> South<br />
Meadows. “We’re all here to make a genuine difference. We<br />
work as a team to create an envir<strong>on</strong>ment where patients are<br />
getting the best possible service.”<br />
As the surgery volume at the hospital has grown to more<br />
than 400 cases per m<strong>on</strong>th, the staff has displayed dedicati<strong>on</strong><br />
and flexibility to meet the needs of the community and the<br />
department. As <strong>on</strong>e example, <strong>Renown</strong> South Meadows<br />
underwent c<strong>on</strong>versi<strong>on</strong> to the Electr<strong>on</strong>ic Medical Record, and<br />
Covert said the surgery team stayed positive and adjusted to<br />
the challenge well.<br />
The Surgery department credits their score of 98 percent<br />
<strong>on</strong> February’s Patient Satisfacti<strong>on</strong> Survey to the hard work<br />
every<strong>on</strong>e puts forth. As scores come in, Covert looks for<br />
trends and solicits ideas from the rest of the team about<br />
how they can stay ahead of a problem and fix current issues<br />
that are an area of growth for the department. Additi<strong>on</strong>ally,<br />
single-questi<strong>on</strong> surveys help get feedback immediately.<br />
benefiting the community<br />
By DAWN<br />
AHNER<br />
Chief Financial<br />
Officer,<br />
<strong>Renown</strong><br />
<strong>Health</strong><br />
As the community‘s <strong>on</strong>ly locally owned,<br />
not-for-profit health network, <strong>Renown</strong><br />
<strong>Health</strong>’s income is used to expand our<br />
programs and services in order to be<br />
able to meet the regi<strong>on</strong>’s healthcare<br />
needs, now and in the future. We<br />
practice good stewardship of our area’s<br />
limited healthcare resources so that<br />
every member of our community has<br />
access to a nurse and a bed when care is<br />
needed.<br />
Did you know that <strong>Renown</strong> provides<br />
more 85 percent of indigent care<br />
in our community? We fulfill our<br />
resp<strong>on</strong>sibility to serve those least able to<br />
pay for their care, and encourage other<br />
hospitals to do the same. In additi<strong>on</strong>, we<br />
actively embrace our role in improving<br />
the health and well-being of the people<br />
in our community.<br />
Each year, <strong>Renown</strong> publicly reports<br />
our community benefit. Take a look<br />
at our most recent report <strong>on</strong>line<br />
at renown.org>about <strong>Renown</strong><br />
<strong>Health</strong>>Community Benefit.<br />
We can be proud of the $82.8 milli<strong>on</strong><br />
<strong>Renown</strong> invested in this community in<br />
fiscal year 2006.<br />
• $72.1 milli<strong>on</strong> in subsidized health<br />
services for those in need<br />
From left to right, Perioperative Supervisor Kathy Garrido, RN; Pieter<br />
Van Tassel, Inventory Facilitator; and Keith Covert, Manager of<br />
Surgical Services at <strong>Renown</strong> South Meadows Medical Center.<br />
“It is nice to see our scores are so high,” said Ann Marie<br />
Griffith, Surgical Technologist. “But we didn’t set out to get<br />
high scores -- we set out to do a good job with the patients.”<br />
Each member of the surgical team insists communicati<strong>on</strong> is the<br />
No. 1 priority.<br />
“It is important for us to try and find a way to relate what’s<br />
happening to our patient,” said Jimi Onisile, technician. “It<br />
all boils down to them. The more we communicate, the less<br />
scared they seem to feel.”<br />
<strong>Renown</strong> South Meadows also credits an emphasis <strong>on</strong> physician<br />
satisfacti<strong>on</strong> and quick turnaround times to great service.<br />
• $7.6 milli<strong>on</strong> in free and low-cost<br />
community health services<br />
• $2 milli<strong>on</strong> in educati<strong>on</strong> for health<br />
professi<strong>on</strong>als<br />
• $1.1 milli<strong>on</strong> in research,<br />
c<strong>on</strong>tributi<strong>on</strong>s to organizati<strong>on</strong>s<br />
and other community services.<br />
This investment would not be<br />
possible without the incredible<br />
work of <strong>Renown</strong> employees. From<br />
Nevada Women’s Expo health<br />
screenings to thousands of flu<br />
vaccines, from <strong>Health</strong> Hotline<br />
calls to training for medical<br />
students and other health<br />
professi<strong>on</strong>als, from our<br />
generous support of local<br />
n<strong>on</strong>-profit organizati<strong>on</strong>s<br />
and more, we are making a<br />
genuine difference.<br />
| 5 |<br />
THE MONITOR APRIL 25, 2008
FOCUS<br />
o n o r t h o p e d i c s<br />
setting a nati<strong>on</strong>al standard<br />
orthopedic trauma program used as model for others<br />
<strong>Renown</strong> Regi<strong>on</strong>al Medical Center’s orthopedic trauma<br />
program is a great example of the str<strong>on</strong>g relati<strong>on</strong>ship the<br />
health network has with Reno’s orthopedic care community.<br />
It’s also a great showcase for the skill, expertise and<br />
technology we c<strong>on</strong>tinue to offer throughout the regi<strong>on</strong>.<br />
A model for smaller city hospitals nati<strong>on</strong>wide, the trauma<br />
center is the busiest n<strong>on</strong>-academic trauma hospital in the<br />
country, caring for thousands of patients a year.<br />
“The coordinati<strong>on</strong> of a trauma program like we have here<br />
is a m<strong>on</strong>umental task and achievement,” said Timothy Bray,<br />
MD, Orthopedics, Medical Director of the trauma program.<br />
“Every<strong>on</strong>e involved sees the importance of what we’re doing<br />
and works together to provide the best patient care.”<br />
Operating as the regi<strong>on</strong>’s <strong>on</strong>ly certified Level-II Trauma<br />
Center, <strong>Renown</strong> Regi<strong>on</strong>al and the Reno orthopedic<br />
From left to right: Daniel Coll, Orthopedic Physician Assistant, PAC; Peter<br />
Althausen, MD; Tim O’Mara, MD; Timothy Bray, MD, Chief of Orthopedic Trauma<br />
Service; Michael Cvitash, Orthopedic Physician Assistant, PAC.<br />
| 6 |<br />
THE MONITOR APRIL 25, 2008<br />
community work together to maintain high standards set<br />
by the American College of Surge<strong>on</strong>s. Every three years, the<br />
program undergoes re-certificati<strong>on</strong> and has held accreditati<strong>on</strong><br />
since its incepti<strong>on</strong> in 1994.<br />
<strong>Renown</strong> works closely with its traumatologists to<br />
accommodate requests that will improve the way the system<br />
functi<strong>on</strong>s. One of these requests was the additi<strong>on</strong> of two<br />
physician assistants in 2005, Dan Coll and Michael Cvitash.<br />
The main focus of this additi<strong>on</strong> was to have other clinical staff<br />
who provide a workup of patients, assist in surgery, and offer<br />
follow-up <strong>on</strong> issues related to the management of trauma<br />
patients.<br />
“We are grateful to the hospital for recognizing the<br />
importance of the orthopedic trauma missi<strong>on</strong>,” Dr. Bray<br />
said. “The additi<strong>on</strong> of the physician assistants has positively<br />
impacted patient care. They are an integral part of the trauma<br />
team.”<br />
The hope of <strong>Renown</strong>’s trauma team is for hospitals in smaller<br />
cities to see the benefit of making a system such as ours<br />
work for them. With emergency room access limited<br />
throughout the regi<strong>on</strong>, our facility sees patients<br />
from all over the Great Basin including Eastern<br />
Utah, southern Oreg<strong>on</strong> and as far south as<br />
L<strong>on</strong>e Pine, Calif.<br />
“Nati<strong>on</strong>al data is showing a decreased<br />
number of ER orthopedic surge<strong>on</strong>s,”<br />
said Peter Althausen, MD, <strong>on</strong>e of<br />
<strong>Renown</strong>’s orthopedic traumatologists.<br />
“It’s important every<strong>on</strong>e works<br />
together and educates people <strong>on</strong> best<br />
practices when it comes to trauma<br />
patients. Our hope is to develop an<br />
orthopedic trauma fellowship where<br />
physicians can come here to learn<br />
how our system works and then go<br />
out with the tools to develop similar<br />
programs in small city hospitals.”
total joint replacement<br />
PROGRAM<br />
services for the entire c<strong>on</strong>tinuum of care<br />
Total Joint Replacement Services at<br />
<strong>Renown</strong> <strong>Health</strong> has been revamped<br />
to c<strong>on</strong>tinue providing patients the<br />
best possible healthcare experience.<br />
Available to those undergoing<br />
total joint replacements, the new<br />
program offers a c<strong>on</strong>tinuity of care<br />
provided by the nurses, physical and<br />
occupati<strong>on</strong>al therapists, orthopedic<br />
surge<strong>on</strong>s, and case managers.<br />
Beginning at the surge<strong>on</strong>’s office,<br />
candidates are provided with<br />
educati<strong>on</strong> about the benefits<br />
of <strong>Renown</strong> <strong>Health</strong>’s Total Joint<br />
Replacement Services. Up<strong>on</strong><br />
enrollment, patients are c<strong>on</strong>tacted<br />
by <strong>Renown</strong>’s Total Joint Coordinator,<br />
Sarah McDowell, RN, who welcomes<br />
them into the program and is the<br />
patient liais<strong>on</strong> throughout their<br />
experience.<br />
McDowell encourages each patient<br />
to attend <strong>on</strong>e of the pre-operative<br />
educati<strong>on</strong> classes where patients<br />
receive accurate informati<strong>on</strong> about<br />
their procedure, helping to relieve<br />
anxiety and maximize patient<br />
outcome. Patients are encouraged<br />
to bring a family member or friend<br />
to class so they can coach and assist<br />
them during recovery.<br />
“We really try to make this a <strong>on</strong>estop-shop,”<br />
said Elizabeth Frank,<br />
RN, Orthopedics Nursing Manager.<br />
“We encourage patients to complete<br />
pre-op testing and lab work the same<br />
day they come in for the educati<strong>on</strong><br />
classes.”<br />
A team from across the healthcare spectrum helps with the Total Joint Replacement<br />
program. They include, from left, Barbara Gabut, Physical Therapy Assistant; Sarah<br />
McDowell, RN, Total Joint Coordinator; Elizabeth Frank, RN, Orthopedics Nursing<br />
Manager; Alicia Glassco, RN, Mary Wilhoite, TMCC Nursing Student and Jeff Broderick,<br />
Occupati<strong>on</strong>al Therapist.<br />
After their procedure, patients<br />
begin daily group physical therapy<br />
sessi<strong>on</strong>s with a friend or family<br />
member who acts as a coach<br />
throughout their recovery. These<br />
group sessi<strong>on</strong>s are designed to create<br />
an immediate support system for the<br />
patient and to build strength and<br />
c<strong>on</strong>fidence preparing them for their<br />
release.<br />
“Our focus is to improve the<br />
quality of our patients’ lives,” said<br />
McDowell. “The entire department<br />
has pushed for this interdisciplinary<br />
program and we work tightly<br />
together to make certain of the best<br />
outcome for our patients.”<br />
According to John Hawkins, Service<br />
Line Administrator for Orthopedics,<br />
<strong>Renown</strong> <strong>Health</strong> performs about 60<br />
percent of northern Nevada’s total<br />
joint replacement surgeries.<br />
“This program has skill, expertise<br />
and technology behind it, and<br />
that really is what differentiates it<br />
from the competiti<strong>on</strong>” said Steve<br />
Cunningham, MD, Orthopedics,<br />
Arthoplasty Medical Director.<br />
“The friendly atmosphere and<br />
knowledge of the entire team<br />
make it the place in our regi<strong>on</strong><br />
to elect to have total joint<br />
replacement procedures.”<br />
ON THE COVER: From left to right: Kathi Morser, RN, Surgical Services;<br />
Steve Cunningham, MD, Orthopedics, Medical Director of the Total Joint<br />
Replacement Program; Luz Raygoza, student nurse; and Kitty Florez, RN,<br />
Surgical Services.<br />
| 7 |<br />
THE MONITOR APRIL 25, 2008
EMPLOYEES OF THE MONTH<br />
<strong>Renown</strong> <strong>Health</strong> Employees of the M<strong>on</strong>th are selected by a volunteer group of employees known as <strong>Renown</strong> Pride. This group<br />
develops and supports programs to foster reward and recogniti<strong>on</strong> for employees. For more informati<strong>on</strong> about how to nominate a<br />
fellow employee visit the People secti<strong>on</strong> <strong>on</strong> Inside <strong>Renown</strong>.<br />
for FEBRUARY 2008<br />
G E N U I N E<br />
D I F F E R E N C E :<br />
Make a genuine difference<br />
for the many lives we touch<br />
by optimizing our patients’<br />
healthcare experience.<br />
P e o p l e :<br />
A great place for great<br />
people to do great work.<br />
Jas<strong>on</strong> Kattehorn, Graduate Nurse, Intensive Care Unit,<br />
Roseview Tower, <strong>Renown</strong> Regi<strong>on</strong>al Medical Center<br />
Jas<strong>on</strong> coordinated a wedding for a patient in the ICU. He helped<br />
with social services, the charge nurse, spiritual services, and the<br />
family. Jas<strong>on</strong> arranged for cake and ice cream, and a card from all<br />
of the staff to be given to the family. “The cerem<strong>on</strong>y was beautiful<br />
and the family was very thankful for the effort that Jas<strong>on</strong> put<br />
forth to ensure that the wedding would occur,” his nominator<br />
wrote.<br />
Liza Warner, Informati<strong>on</strong> Resources, <strong>Renown</strong> <strong>Health</strong><br />
During a recent system c<strong>on</strong>versi<strong>on</strong> for the <strong>Renown</strong> payroll system,<br />
Liza spent a lot of time helping with internal customers. She<br />
worked extra hours, including some days off, and did this work<br />
<strong>on</strong> top of her regular issues. One wrote in Liza’s nominati<strong>on</strong> that<br />
she “digs deeper into issues that need critical research, and overall<br />
provides assurance and support that things would work out fine.”<br />
S e r v i c e :<br />
Anticipate customer<br />
needs and exceed<br />
expectati<strong>on</strong>s in a<br />
compassi<strong>on</strong>ate manner.<br />
Amy Hawkins, RN, Intensive Care Unit, Sierra Tower, <strong>Renown</strong><br />
Regi<strong>on</strong>al<br />
Amy was caring for a patient from out-of-town who later passed<br />
away. After the patient’s family left for home, a package was<br />
received for the family. Amy took the package home with her and<br />
shipped it out to them the next day <strong>on</strong> her own time and using her<br />
own m<strong>on</strong>ey. “Thanks for providing great customer service, Amy,”<br />
her nominator wrote.<br />
Q u a l i t y :<br />
Provide excellence by<br />
doing the job right<br />
the first time.<br />
Katie J<strong>on</strong>es, Technician, Pharmacy, <strong>Renown</strong> Regi<strong>on</strong>al<br />
As clinician liais<strong>on</strong> for new medicati<strong>on</strong>s, Katie helped<br />
pharmacists with new paperwork for Cardiovascular Services.<br />
During this, she went above-and-bey<strong>on</strong>d by adding medicati<strong>on</strong>s<br />
that would treat an allergic reacti<strong>on</strong> to other n<strong>on</strong>-invasive cardiac<br />
testing medicines. She also called to make sure that medicine was<br />
included <strong>on</strong> the unit.<br />
Stewardship:<br />
Maximize the use of<br />
available, finite resources<br />
to meet the current<br />
and future needs of the<br />
community.<br />
Renee York, RN, Telemetry, Tahoe Tower, <strong>Renown</strong> Regi<strong>on</strong>al<br />
Renee found an efficiency that has saved m<strong>on</strong>ey for <strong>Renown</strong>.<br />
During training for a new m<strong>on</strong>itor system in Telemetry, she<br />
suggested that the older paper used to print out results from<br />
the system could c<strong>on</strong>tinue to be used in place of newer, more<br />
expensive paper. It turned out to be the case, and it affected<br />
m<strong>on</strong>itor print-outs in PACU and the Emergency Room as well as<br />
Telemetry.<br />
| 8 |<br />
THE MONITOR APRIL 25, 2008
star awardS<br />
The <strong>Renown</strong> Pride team gives special <strong>Renown</strong> Star<br />
awards to employees who have d<strong>on</strong>e work in the<br />
community that deserves special recogniti<strong>on</strong>. This<br />
m<strong>on</strong>th, there are three winners of <strong>Renown</strong> Star awards:<br />
Rindy Zamb<strong>on</strong>i- DiLoreto, CNA, General Surgical Unit,<br />
Tahoe Tower, <strong>Renown</strong> Regi<strong>on</strong>al Medical Center<br />
A patient who was in a car accident called Rindy “her<br />
angel” in a thanks to <strong>Renown</strong> <strong>Health</strong> for her care.<br />
Rindy witnessed the accident of the patient and pulled<br />
over to assist and help paramedics at the scene. “She<br />
took the time to come to my room and talk to me about<br />
what happened. She truly deserves more than a thankyou,”<br />
the patient wrote.<br />
Steven Hall, Technician, and Lynn Kotlicky, Physical<br />
Therapist, Rehabilitati<strong>on</strong> Therapy, 50 Kirman<br />
Lynn and Steven resp<strong>on</strong>ded quickly when a pers<strong>on</strong><br />
collapsed in the parking lot at 50 Kirman. They<br />
began CPR and assisted with the patient even after<br />
paramedics arrived. Once the fire department relieved<br />
them, they stayed with the family and assisted in<br />
other ways. “Their take-c<strong>on</strong>trol resp<strong>on</strong>se was both<br />
professi<strong>on</strong>al and brave,” their nominator wrote. “We<br />
are lucky that they are members of our Reno and<br />
<strong>Renown</strong> community.”<br />
ABOVE: Steven Hall,<br />
Technician & Lynn<br />
Kotlickey, Physical<br />
Theapist, Rehabilitati<strong>on</strong><br />
Therapy at 50 Kirman.<br />
LEFT: Rindy Zamb<strong>on</strong>i-<br />
DeLoreto, CNA, General<br />
Surgery Unit, <strong>Renown</strong><br />
Regi<strong>on</strong>al.<br />
leadership quest takes place<br />
LEFT: An animated Lee<br />
J. Colan, the keynote<br />
speaker at Leadership<br />
Quest, talked about the<br />
art of Sticking to it.<br />
BELOW: Leadership<br />
Quest team members<br />
act out a skit based<br />
<strong>on</strong> a letter about <strong>on</strong>e<br />
patient’s <strong>Renown</strong><br />
Regi<strong>on</strong>al ER experience.<br />
From left to right, Jared<br />
Marks, Scott Knight, Jessi<br />
Bosco, Jex Lawrence and<br />
Bennie Stein.<br />
About 300 <strong>Renown</strong> leaders gathered for the<br />
twice-a-year Leadership Quest held <strong>on</strong> March 25<br />
at the Peppermill Hotel Casino. This year’s event<br />
focused <strong>on</strong> the <strong>Renown</strong> Regi<strong>on</strong>al Emergency<br />
Room and the patient experience.<br />
With more than 65,000 patients coming through<br />
<strong>Renown</strong> Regi<strong>on</strong>al’s ER each year, Jim Miller,<br />
President and CEO, helped leaders understand<br />
why every<strong>on</strong>e plays an important role in the<br />
patient experience. Larry Weber, Vice President<br />
of Ancillary and Support Services, presented<br />
leaders with a call to acti<strong>on</strong> relating to ER patient<br />
experience and Allan Hanssen, Vice President of<br />
Strategic Initiatives, educated about the need to<br />
act as an integrated healthcare network.<br />
Other covered topics included recogniti<strong>on</strong> of<br />
World Class Workgroups, a look at <strong>Renown</strong><br />
Skilled Nursing’s improvement in employee<br />
engagement and practices, and employee<br />
work plans. The goal of Leadership Quest<br />
is for attendees to communicate and<br />
implement strategic initiatives within<br />
their departments.<br />
| 9 |<br />
THE MONITOR APRIL 25, 2008
Comings and Goings<br />
This regular feature informs M<strong>on</strong>itor readers about leaders who have joined or left the health network and leaders<br />
promoted to a positi<strong>on</strong> of manager or above.<br />
NEW HIRES<br />
Jane Postin, Chief Financial<br />
Officer for <strong>Renown</strong> South<br />
Meadows Medical Center,<br />
<strong>Renown</strong> Rehabilitati<strong>on</strong> Hospital,<br />
<strong>Renown</strong> Skilled Nursing and<br />
<strong>Renown</strong> Home Care<br />
In Postin’s new positi<strong>on</strong>, she will<br />
team with organizati<strong>on</strong>al leaders<br />
to provide financial informati<strong>on</strong><br />
for decisi<strong>on</strong>-making with a focus<br />
<strong>on</strong> cost management, revenue<br />
enhancement and benchmarking. Postin has more than 10<br />
years of experience in finance and healthcare. Before joining<br />
<strong>Renown</strong>, she served as CFO for Kansas Medical Center in<br />
Andover, Kan.. Postin is a board member and officer for the<br />
<strong>Health</strong>care Financial Management Associati<strong>on</strong>.<br />
Linda Fecteau, Manager of<br />
Tax and Treasury, Financial<br />
Management, <strong>Renown</strong> <strong>Health</strong><br />
Fecteau is resp<strong>on</strong>sible for the<br />
management of the treasury<br />
functi<strong>on</strong> for <strong>Renown</strong> and its<br />
affiliates and the preparati<strong>on</strong><br />
and/or coordinati<strong>on</strong> of all tax<br />
or license filings. Fecteau has a<br />
bachelor’s degree in accounting<br />
and more than 30 years of<br />
experience in accounting management.<br />
Dave Mang, Manager of Supply<br />
Services, <strong>Renown</strong> Regi<strong>on</strong>al<br />
In his role, Mang is resp<strong>on</strong>sible<br />
for the Central Supply Room,<br />
which includes Case Cart<br />
support for the Operating<br />
Room. He is also resp<strong>on</strong>sible<br />
for the Stores and Receiving<br />
area and Mailroom Courier<br />
Services. Patient supplies and<br />
equipment are also distributed<br />
from the Central Supply Room. Mang has a bachelor’s<br />
degree in accounting, al<strong>on</strong>g with 28 years in manufacturing/<br />
distributi<strong>on</strong> operati<strong>on</strong>s, primarily in the music industry, that<br />
began in central Illinois before Mang moved to Reno.<br />
Kathy Milt<strong>on</strong>, Manager, <strong>Renown</strong><br />
Medical Group, 910 Vista Blvd.,<br />
and Fernley<br />
In Milt<strong>on</strong>’s new positi<strong>on</strong>, she will<br />
oversee the operati<strong>on</strong>s for both<br />
facilities including ensuring<br />
excellent customer service, both<br />
internal and external. She has 20<br />
years of practice management<br />
experience. Milt<strong>on</strong> was<br />
previously with <strong>Renown</strong> from<br />
1988 to 1998, including time with the MSO billing service and<br />
as a medical practice manager.<br />
Shar<strong>on</strong> Vasquez, RN, CCRN, Nurse<br />
Manager, ICU, Medical/Telemetry,<br />
<strong>Renown</strong> South Meadows<br />
Vasquez previously worked<br />
in the Neurosciences and<br />
Telemetry units from 1980 to<br />
1985. Vasquez then worked<br />
as a nurse manager for the<br />
Sutter Neuroscience Center in<br />
Sacramento. Other experience<br />
includes work in Intensive Care at Northern Nevada Medical<br />
Center (including five years as manager) and work in Cardiac<br />
Intensive Care and Cardiac Surgery units at Shasta Regi<strong>on</strong>al<br />
Medical Center in Redding, Calif. She has a bachelor’s degree<br />
in nursing science from the University of Nevada, Reno.<br />
FAREWELL TO:<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
Kim Arnott, Clinical Laboratory Manager, <strong>Renown</strong><br />
South Meadows<br />
Brian Cotter, Administrator, <strong>Renown</strong> Rehabilitati<strong>on</strong><br />
Hospital<br />
Newt<strong>on</strong> Chase, Director of Projects and Facilities,<br />
<strong>Renown</strong> Regi<strong>on</strong>al<br />
Glen Gemigniani, C<strong>on</strong>tract Manager, <strong>Renown</strong><br />
<strong>Health</strong><br />
Julie Larsen, Pharmacy Manager, <strong>Renown</strong> Regi<strong>on</strong>al<br />
Michele Pelter, PhD, RN, Director of Nursing<br />
Research<br />
Len Polak, Manager of N<strong>on</strong>-Invasive Cardiology,<br />
<strong>Renown</strong> Regi<strong>on</strong>al<br />
•<br />
| 10 |<br />
THE MONITOR APRIL 25, 2008
1.<br />
PEOPLE AT WORK<br />
From left, Registered Nurses Shar<strong>on</strong><br />
Spencer and Natasha St. John at <strong>on</strong>e<br />
of the Proud to be <strong>Renown</strong> events at<br />
<strong>Renown</strong> Regi<strong>on</strong>al.<br />
From left, Clinical Dietitians Linnea<br />
Gundlach-Mangness and Shawna<br />
McCarthy meet at <strong>Renown</strong> South<br />
Meadows Medical Center.<br />
Mario Martinez (left),<br />
Cardiology Tech,<br />
and D<strong>on</strong>na Brown,<br />
Ultrasound Tech, with<br />
the echocardiology<br />
machine at <strong>Renown</strong><br />
South Meadows<br />
Medical Center.<br />
From left, Ladda<br />
Haaheim, Houskeeper,<br />
and Maria Quintos,<br />
Residential Aide,<br />
near the aquarium at<br />
M<strong>on</strong>aco Ridge assisted<br />
living.<br />
Patient Access<br />
Representatives<br />
Robin Amato<br />
(left) and Liz<br />
Rodriguez at<br />
Urgent Care,<br />
975 Ryland<br />
From left, Devin Chirrick,<br />
Technical Director of N<strong>on</strong>-Invasive<br />
Cardiovascular Services, and Bryan<br />
Cox, Ultrasound Technician set up<br />
a display at the Nevada Women’s<br />
Expo at the Reno-Sparks C<strong>on</strong>venti<strong>on</strong><br />
Center. The two men work at <strong>Renown</strong><br />
Regi<strong>on</strong>al Medical Center.<br />
From left, Kristen Stevens, <strong>Health</strong><br />
Promoti<strong>on</strong> Coordinator; Deanna<br />
Nels<strong>on</strong>, RN, <strong>Health</strong> and Wellness;<br />
and Patti Sicherman, RN, Outpatient<br />
Nurse, prep before the influx of<br />
Nevada Women’s Expo attendees<br />
seeking free health screenings from<br />
<strong>Renown</strong>.
A GREAT PLACE FOR GREAT PEOPLE TO DO GREAT WORK.<br />
Every m<strong>on</strong>th in the M<strong>on</strong>itor we share comments about employees from our patient satisfacti<strong>on</strong> surveys.<br />
These comments are from January 2008.<br />
RENOWN REGIONAL MEDICAL CENTER<br />
Please accept my sincerest gratitude to each and every<br />
professi<strong>on</strong>al and compassi<strong>on</strong>ate staff member and doctor who<br />
so kindly looked after me during my hospital stay. Each and<br />
every shift was great.<br />
EMERGENCY SERVICES, RENOWN REGIONAL<br />
They allowed my husband to be with me and even brought him<br />
coffee and a toothbrush to use. They were fabulous to him. The<br />
staff, under the stress of having so many patients to be seen, were<br />
very thorough, pleasant and professi<strong>on</strong>al at all times.<br />
POST-PARTUM, RENOWN REGIONAL<br />
The nurses made it so easy to learn how to take care of our<br />
new baby that we wanted to take them home as well.<br />
ONCOLOGY, RENOWN REGIONAL<br />
The nurses <strong>on</strong> Oncology were excellent. They are very caring,<br />
tender and well-skilled. They are the best.<br />
MEDICAL/NEPHROLOGY, RENOWN REGIONAL<br />
I was extremely impressed by their knowledge, skill, time<br />
spent explaining and helping. Please acknowledge them.<br />
TELEMETRY, RENOWN REGIONAL<br />
I received immediate and professi<strong>on</strong>al attenti<strong>on</strong>. I appreciate<br />
very much the care I received.<br />
SAME DAY SURGERY, RENOWN REGIONAL<br />
As a parent, I absolutely loved the children’s tour of the<br />
surgery center. My four-year-old daughter, as a result, was<br />
actually looking forward to her hospital procedure.<br />
RENOWN MEDICAL GROUP, PEDIATRICS<br />
I’ve already recommended your facility to many of my<br />
friends. Thank you.<br />
RENOWN SENIOR MEDICAL GROUP<br />
It’s good for me, because I am allowed to express my thoughts and<br />
what I want, and we discuss and make decisi<strong>on</strong>s based <strong>on</strong> these<br />
discussi<strong>on</strong>s.<br />
IMAGING AND X-RAY, 6570 S. McCARRAN BLVD.<br />
I have never had a bad experience at the facility. Every<strong>on</strong>e has<br />
been pleasant and professi<strong>on</strong>al.<br />
IMAGING AND X-RAY, 75 PRINGLE WAY<br />
The x-ray tech came out and greeted me, and explained the<br />
situati<strong>on</strong> in regards to delays and offered to answer questi<strong>on</strong>s.<br />
It was excellent service. Every<strong>on</strong>e wore a smile.<br />
RENOWN BREAST HEALTH CENTER<br />
It’s an office that addresses mainly women’s needs and so it is<br />
comforting and private. I get a positive feeling there.<br />
RENOWN REHABILITATION HOSPITAL<br />
Outpatient Therapy went out of their way for the well-being<br />
of my mother. My experience at the facility was excellent, and<br />
besides the food was good.<br />
RENOWN SOUTH MEADOWS MEDICAL CENTER<br />
It was an outstanding experience with a staff of well-trained<br />
cooperative people in each level of resp<strong>on</strong>sibility, indicating<br />
unusually good training and administrati<strong>on</strong>.<br />
SAME DAY SURGERY, RENOWN SOUTH MEADOWS<br />
I’ve heard from friends and co-workers about how kind the staff<br />
at <strong>Renown</strong> has become, but I was so happy to have experienced<br />
the kindness and c<strong>on</strong>cern by every<strong>on</strong>e. Excepti<strong>on</strong>al.<br />
EMERGENCY SERVICES, RENOWN SOUTH MEADOWS<br />
My daughter and her girls, 2 and 4 years old, brought me to<br />
emergency. The staff accommodated them beautifully with<br />
apple juice and carto<strong>on</strong>s. My daughter was very grateful and<br />
quite impressed with the staff.<br />
DIETARY SERVICES, RENOWN SOUTH MEADOWS<br />
The food was very good, and the staff always had a smile.<br />
SURGICAL SERVICES, RENOWN SOUTH MEADOWS<br />
Your hospital was very kind to accommodate my boyfriend. He<br />
spent the night with me in my room and the nurses brought him a<br />
roll-away bed. Thank you.<br />
THE WEEKLY MONITOR | A PUBLICATION OF RENOWN HEALTH<br />
MONITOR EDITOR<br />
Mark Earnest<br />
982-6774<br />
communicati<strong>on</strong>s<br />
manager<br />
Stacy Kendall<br />
982-4651<br />
GRAPHIC DESIGNER<br />
Cassandra Lindberg<br />
EDITORIAL BOARD<br />
D<strong>on</strong> Butterfield<br />
Pamela Caggiula<br />
Gayle Hurd<br />
Stacy Miller<br />
WRITERS/PHOTOGRAPHERS<br />
Alexia Bratiotis<br />
Emilyanne Harris<strong>on</strong><br />
Jex Lawrence<br />
Nicole Shearer<br />
Whitney Wall<br />
Every<strong>on</strong>e’s opini<strong>on</strong> counts! Letter to the Editor:<br />
To submit a letter to the editor, visit Inside <strong>Renown</strong> (<strong>Renown</strong><br />
<strong>Health</strong>’s intranet site), click <strong>on</strong> Newsletters>Submit a Story Idea/<br />
Letter to the Editor and fill out the <strong>on</strong>line form. Include your full<br />
name, department, e-mail address and daytime ph<strong>on</strong>e number.<br />
We reserve the right to publish your letters. Letters chosen for<br />
publicati<strong>on</strong> may be edited for length and clarity.<br />
Special thanks<br />
John Hawkins<br />
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